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44 Cards in this Set

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Fill in the blank:


_____________ - Fluid connective tissue


_____________ – non-living fluid matrix




______________– living blood "cells"suspended in plasma

Blood - Fluid connective tissue




Plasma – non-living fluid matrix




Formed elements – living blood "cells" suspended in plasma



3 Types of Blood

•Erythrocytes (red blood cells, or RBCs) •Leukocytes (white blood cells, or WBCs) •Platelets

Physical Characteristics of Blood:




pH and Average volume

pH 7.35-7.45




Volume: 5-6L for males; 4-5L for femails

3 functions of blood

–Distributing substances


–Regulating blood levels of substances


–Protection

In what ways does blood distribute?

Delivering O2 andnutrients to body cells




Transporting metabolic wastes to lungs and kidneys for elimination




Transporting hormones from endocrine organs to target organs

In what ways does blood regulate?

Maintaining body temperature




Maintaining normal pH using buffers




Maintaining adequate fluid volume in circulatorysystem

In what ways does blood protect?

Preventing blood loss


–Plasma proteins and platelets initiate clot formation




Preventing infection


–Antibodies


–Complement proteins


–WBCs

What is the composition of blood plasma?

90% water




- Over 100 dissolved solutes


- ~8% plasma proteins


- nutrients, gases, hormones, wastes, proteins, inorganic ions

Composition of plasma protein

Produced by liver




60% albumin, 36% globulin; 4% fibrinogen

Formed Elements: Fill in the blank




Only ____ are complete cells




______ have no nuclei or organelles




______ are cell fragments




Most formed elements survivein the bloodstream for __________




Most blood cells _________and do not divide

Formed Elements: Fill in the blank




Only WBCs are complete cells




RBCs have no nuclei or organelles




Platelets are cell fragments




Most formed elements survive in the bloodstream for only a few days




Most blood cells originate in bone marrow and do not divide

Characteristics of Erythrocytes

Biconcavediscs, anucleate, essentially no organelles




Contain a Hemoglobin molecule whichcarries oxygen bound to iron molecules




•Major factor contributing to blood viscosity




Glycoproteins on the surface are used for bloodtyping

Hemoglobin Structure: Fill in the blank




•Globin composed of ___________


– Two _____ and two ____ chains




•___________ bonded to each globin chain


–Gives blood ________




•Heme's central ______ atom binds ________




•Each Hb molecule can _________




•Each RBC contains _______ Hb molecules

•Globin composed of 4 polypeptide chains


Twoalpha and two beta chains




Hemepigment bonded to each globin chain


–Gives blood red color




•Heme's central iron atombinds one O2




•Each Hb molecule can transport four O2




•Each RBC contains 250 million Hb molecules

Hemoglobin (Hb) Functions and what do they produce: 3 things

•O2 loading in lungs


–Produces oxyhemoglobin (ruby red)




•O2 unloading in tissues


–Produces deoxyhemoglobin or reduced hemoglobin (dark red)




•CO2 loading in tissues


–20% of CO2 in blood binds to Hb à carbaminohemoglobin

Defined as blood cell formation inred bone marrow


–Occursin red bonemarrow

Hematopoiesis

What are hemocytoblasts?

Hematopoitic stems cells that get rise to all formed elements

What is Erythropoiesis?

Red blood cell production

Regulation of Erythropoiesis:




Too few RBCs leads to tissue _____




Too many RBCs ___________

Too few RBCs leads to tissue hypoxia




Too many RBCs increases blood viscosity

What are the Hormonal Control of Erythropoiesis?

Erythropoietin (EPO)


- Hormone produced by the kidneyswhen blood O2 levels drop or tissues experience hypoxia. ( hypo- low, oxia- oxygen)




•Testosteronealso enhances EPO production, resulting in higher RBC counts in males

Causes of hypoxia

– Hemorrhage or increased RBC destruction reduces RBC numbers




–Insufficient hemoglobin (e.g., iron deficiency)




–Reduced availability of O2 (e.g., high altitudes)

Dietary Requirements for Erythropoiesis

Nutrients—amino acids, lipids, &carbohydrates




Iron- ferritin




Vitamin B12 and folic acid—necessaryfor DNA synthesis for cell division

Fate and Destruction ofErythrocytes: Fill in the blank




•Life span: _______


–No protein synthesis, growth, division




•Old RBCs become ________; Hb begins to ___________




•Get trapped in smallercirculatory channels especially in _______




•Macrophages engulf dying RBCs inthe spleen . Spleen -> “_________”



•Life span: 100–120 days


–No protein synthesis, growth, division




•Old RBCs become fragile; Hb begins to degenerate




•Get trapped in smaller circulatory channels especially in spleen




•Macrophages engulf dying RBCs in the spleen . Spleen -> “RBC graveyard

Bilirubin leaves the body through ______ and ______

–Bilirubin leaves the body through feces as stercobilin and through the urine as urobilin

Learn life cycle of Red Blood Cells

Found on Figure 17.7

What is polythemia vera?

–Bonemarrow cancer excess RBCs


–Severelyincreased blood viscosity

What is Anemia?

–Bloodhas abnormally low O2-carryingcapacity


–BloodO2levels cannot support normal


metabolism


–Accompaniedby fatigue, pallor, shortness of breath, and chills

What are the three groups that can cause anemia?

1. Blood loss


2. Low RBC production


3. High RBC destruction

Types of Anemia:



_________ anemia: acute or chronic loss of blood




_________ anemia:RBCs rupture prematurely- malaria




_________ anemia:destruction or inhibition of red bone marrow- Chemo




_________ anemia:


•Secondary result of hemorrhagicanemia or


•Inadequate intake ofiron-containing foods or Impaired ironabsorption




_________ anemia-Deficiency of vitamin B12


Lack of intrinsic factor needed forabsorption of B12




_________ anemia.Defective gene codesfor abnormal hemoglobin (HbS).


Causes RBCs to becomesickle shaped in low-oxygen situations

Types of Anemia:




Hemorrhagicanemia: acute or chronic loss of blood




Hemolytic anemia:RBCs rupture prematurely- malaria




Aplastic anemia:destruction or inhibition of red bone marrow- Chemo




Iron-deficiencyanemia:


•Secondary result of hemorrhagicanemia or


•Inadequate intake ofiron-containing foods or Impaired ironabsorption




Perniciousanemia-Deficiency of vitamin B12


Lack of intrinsic factor needed forabsorption of B12




AbnormalHb: Sickle-cellanemia.Defective gene codesfor abnormal hemoglobin (HbS).


Causes RBCs to becomesickle shaped in low-oxygen situations

Leukocytes make up ____% of total blood volume.




Function in ______

Leukocytes make up <1% of total blood volume




•Function indefense against disease

Two categories of Leukocytes and their types

Granulocytes – Visiblecytoplasmic granules


–Neutrophils, eosinophils, basophils




Agranulocytes – Novisible cytoplasmic granules


–Lymphocytes, monocytes

Granulocytes composition and function

–Larger and shorter-lived than RBCs


Lobed nuclei


–Cytoplasmic granules stain specifically with Wright's stain


–All phagocytic to some degree

Agranulocytes composition

–Lack visible cytoplasmic granules


–Have sphericalor kidney-shaped nuclei

Leukocyte disorders:




______ –Abnormally low WBC count—drug induced




______ – all fatal if untreated


–Cancer ->___________


–Lymphocytic leukemia involves lymphocytes




______ leukemia derivesfrom stem cells; primarily affects children




______ leukemia morecommon in older people

Leukocyte disorders:




Leukopenia –Abnormally low WBC count—drug induced




Leukemias – all fatal if untreated


–Cancer -> overproduction of abnormal WBCs


–Lymphocytic leukemia involves lymphocytes




Acute leukemia derives from stem cells; primarily affects children




Chronic leukemia more common in older people

What are platelets?

Platelets (aka thrombocytes) are small, irregularly shaped clear cell fragments

Platelets: Fill in the blank




•_____ in diameter


•Derived from fragmentation ofprecursor _____


•Theaverage lifespan of a platelet isnormally just _____


•Areinvolved in hemostasis, leading to theformation of ______

Platelets: Fill in the blank




2–3 µm in diameter


•Derived from fragmentation of precursor megakarocytes


•The average lifespan of a platelet is normally just 9 to 12 days


•Are involved in hemostasis, leading to the formation of blood clots

3 steps of Hemostatsis (to stop bleeding)




Describe:


1.The Vascular Phase: _____


2. The Platelet Phase: _____


3. The Coagulation Phase: _____

1.The Vascular Phase: Local contraction of injured vessel

2. The Platelet Phase: Platelets stick to damaged vessel wall

3. The Coagulation Phase: Clotting factors in plasma form blood clot      

1.The Vascular Phase: Local contraction of injured vessel




2. The Platelet Phase: Platelets stick to damaged vessel wall




3. The Coagulation Phase: Clotting factors in plasma form blood clot

Platelet Phase of Hemostasis:




1.Attachment ofplatelets to exposed surfaces is called _______


2.Attachment of platelets to each other is called _______


3.Platelet aggregation forms a ______


4.Aggregation beginswithin _____ of an injury

Platelet Phase of Hemostasis:




1.Attachment of platelets to exposed surfaces is called platelet adhesion




2.Attachment of platelets to each other is called platelet aggregation




3.Platelet aggregation forms a Platelet Plug




4.Aggregation begins within 15 seconds of an injury

Three phases of coagulation

Three phases of coagulation


–Prothrombin activator formed in both intrinsic and extrinsic pathways




–Prothrombin converted to enzyme thrombin




–Thrombin catalyzes the joining of fibrinogen -> fibrin

Simplified description of Coagulation Phase 1: TwoPathways to Prothrombin Activator




Intrinsic pathway– Slower


Extrinsic pathway–Faster

Simplified description of Coagulation Phase 2:Pathway to Thrombin

Prothrombin is converted into Thrombin

Simplified description of Coagulation Phase 3:Common Pathway to the Fibrin Mesh

•Thrombin convertssoluble fibrinogen to fibrin

What is Hemostasis?




What is fibrinolysis?





Hemostasis: Clot Retraction and Removal




Fibrinolysis: Clot gradually resolves

What is plasmin?

an enzyme derived from plasminogen in the plasma, cuts fibrin apart like a molecular scissors

Blood types:




•___________ determined




•Basedon the presence of _________ present on the surface of red blood cells

Blood types:




Genetically determined




•Based on the presence of proteins (antigen or aglutigens) present on the surface of red blood cells

What are the types of antigens? What is the mechanism of typing?

A, B, AB and O (no antigens)




Mechanism of typing is agglutination of antigens with antibodies (agglutinogens)